BLUE MOUNTAIN THERAPY, LLC


Address: 27018 Lee Hwy, Abingdon, VA 24211
Phone: 2765254460

BLUE MOUNTAIN THERAPY, LLC (NPI# 1760818595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760818595
Entity Type Organization
Organization Name BLUE MOUNTAIN THERAPY, LLC
Practice Address 27018 Lee Hwy
Abingdon
VA 24211
Mailing Address 27018 Lee Hwy
Abingdon
VA 24211-7512
Practice Telephone 2765254460
Practice Fax Number 8882337885
Mailing Telephone 2765254460
Mailing Fax Number 8882337885
Enumeration Date 2013-09-25
Last Update Date 2020-05-11
Authorized Official Name JOSEPH CLINT WADDELL (ADMINISTRATION)
Authorized Official Telephone 2765256043
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers
N 251C00000X Day Training, Developmentally Disabled Services Agencies
N 104100000X Social Worker Behavioral Health & Social Service Providers
N 225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 252Y00000X Early Intervention Provider Agency Agencies

Other Provider Identifier

State Issuer Identifier Type Code
VA 1760818595 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1480 E Main St Ste 503, Wytheville, VA 243823489 2763352217
440 Park Ave Nw, Norton, VA 242732114 2765256043 8882337885

Office Location

Street Address 27018 LEE HWY
City ABINGDON
State VA
Zip Code 24211

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861535254 Michael L. Keohane Social Worker 27018 Lee Hwy, Abingdon, VA 24211-7512 2007-02-15
1669008348 Kimberly Dawn Greer Speech-Language Pathologist 27018 Lee Hwy, Abingdon, VA 24211-7512 2020-03-13
1609415256 Kaitlyn Huff Physical Therapy Assistant 27018 Lee Hwy, Abingdon, VA 24211-7512 2019-12-30
1578116356 Chelsey Jarrett Mayhew Occupational Therapy Assistant 27018 Lee Hwy, Abingdon, VA 24211-7512 2019-07-19
1376929802 Kristen Zrioka Occupational Therapist 27018 Lee Hwy, Abingdon, VA 24211-7512 2015-08-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386087245 Abingdon Apothecary, Inc. Pharmacy 26100 Lee Highway, Abingdon, VA 24211 2013-04-10
1255671152 Mac's Medical Equipment and Supplies, Inc. Durable Medical Equipment & Medical Supplies 26102 Lee Highway, Abingdon, VA 24211 2013-03-01
1316290737 Falcon Pharmacy Pharmacy 795 Cummings Street, Abingdon, VA 24211 2012-10-23
1407027402 Carla M. Keene, D.d.s. Dentist 15189 Porterfield Highway, Abingdon, VA 24211 2008-03-18
1215001045 Bernard A Tisdale Md PC Radiology 26079 Lee Highway, Abingdon, VA 24211 2006-11-20
1982670048 Jeffrey Allen Mccraw Anesthesiology 351 North Court St, Abingdon, VA 24211 2006-02-27
1356320881 Joseph A Brown Internal Medicine 16000 Johnston Memorial Drive, Suite 304, Abingdon, VA 24211 2006-01-12
1922667435 Saman Saeed Student in an Organized Health Care Education/Training Program 16000 Johnston Memorial Drive, Abingdon, VA 24211 2019-06-08
1487140562 Joshua Aaron Hess Nurse Practitioner 16000 Johnston Memorial Dr, Abingdon, VA 24211 2018-07-02
1073005989 Carl Thurman Harrison Jr. Nurse Practitioner 16000 Johnston Memorial Dr, Abingdon, VA 24211 2018-06-06
Find all providers in zip 24211

Taxonomy Information

Taxonomy Code 252Y00000X
Grouping Agencies
Classification Early Intervention Provider Agency

Taxonomy Definition

Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.
Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639671936 Highlands Community Services Early Intervention Provider Agency 610 Campus Dr, Abingdon, VA 24210-2589 2018-03-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487253852 Morina M Lamb Early Intervention Provider Agency 43 Sam St, Mcgaheysville, VA 22840-9230 2020-10-18
1578195590 Salatino Nutrition, LLC Early Intervention Provider Agency 9331 Crestfield Dr, Mechanicsville, VA 23116-2923 2020-02-07
1568929511 Commonwealth Therapy Company LLC Early Intervention Provider Agency 5133 Gardner Dr, Alexandria, VA 22304-7734 2019-02-26
1699239574 Lori Floyd Early Intervention Provider Agency 16885 Martinsville Hwy, Axton, VA 24054-1929 2019-01-25
1184198764 Colleen Cassidy Early Intervention Provider Agency 4326 Duke St, Alexandria, VA 22304-2528 2019-01-16
1518467133 City of Hampton Early Intervention Provider Agency 100 Old Hampton Lane, Suite 200, Hampton, VA 23669-4096 2018-02-20
1184135212 Star Specialized Therapies and Rehabilitation, LLC Early Intervention Provider Agency 100 N Irving St, Arlington, VA 22201-1048 2017-10-16
1386153955 Theresa Christian Early Intervention Provider Agency 4924 Merlin Ln, Glen Allen, VA 23060-4917 2017-09-26
1336658046 Bonnie F Dayton Early Intervention Provider Agency 610 Mountain Ave Sw, Roanoke, VA 24016-3838 2017-09-26
1952828329 Lisa Nielsen Early Intervention Provider Agency 2112 Maiden Lane Sw, Roanoke, VA 24015 2017-08-27
Find all providers with the same taxonomy

Competitor

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City ABINGDON
Zip Code 24211

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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